Comparison of the effect of acupoint injection and tramadol for the treatment of catheter-related bladder discomfort: A randomized controlled trial

作者：Li Guo, Ping Li, S. Y. Li, Jianying Song, Qiao-Li Wang, Wanli Tian · 发表于：Medicine · 年份：2025 · DOI：10.1097/md.0000000000044553 · 被引用次数：2 · 研究领域：Urinary Tract Infections Management、Urinary Bladder and Prostate Research、Nausea and vomiting management

BACKGROUND: Postoperative catheter-related bladder discomfort (CRBD) is a common complication of intraoperative urinary catheterization. We conducted this study to compare the effects of acupoint injection and tramadol for the treatment of postoperative CRBD after gynecological surgery. METHODS: Ninety patients who underwent elective gynecological surgery with intraoperative urinary catheterization and spontaneously complained of CRBD during recovery in the post-anesthesia care unit were randomized into 3 groups of 30 each. Group A received acupoint injections (Zusanli [ST 36], Sanyinjiao [SP 6], Zhongji [CV 3], and Guanyuan [CV 4]), Group B received 1.5 mg/kg tramadol, while Group C received normal saline. The severity of CRBD was measured as none, mild, moderate, or severe; or recorded using visual analog scale score ranging from 0 (no discomfort) to 10 (most severe discomfort). These measurements were reported at 0 (immediate treatment time), 0.5, 1, 2 and 6 hours after treatment. RESULTS: The severity of CRBD was reduced in group A compared to that in group C at immediate treatment time, 1, 2, and 6 hours after treatment, while the severity of CRBD was reduced in group B compared to that in group C at 1 and 2 hours after treatment. The actual visual analog scale score for CRBD was also lower in groups A and B compared to that in group C after treatment. Additionally, Group A had a higher rate of effective therapy than group C at immediate treatment time, 1, 2, and 6 hours...